Provider Demographics
NPI:1841996899
Name:ABG CONSULTANTS
Entity type:Organization
Organization Name:ABG CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYNUM
Authorized Official - Suffix:
Authorized Official - Credentials:MPH,CBCS, CPAR, CPC
Authorized Official - Phone:708-595-9469
Mailing Address - Street 1:PO BOX 360811
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35236-0811
Mailing Address - Country:US
Mailing Address - Phone:708-595-9469
Mailing Address - Fax:
Practice Address - Street 1:1907 MAYFLOWER DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-3315
Practice Address - Country:US
Practice Address - Phone:708-595-9469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No282J00000XHospitalsReligious Nonmedical Health Care Institution